• Title/Summary/Keyword: Effectiveness Score

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Nutritional Intervention for Dietary Behavior Modification in Breast Cancer Patients (유방암 환자의 식행동 수정을 위한 영양중재 효과판정)

  • Lee, Kyung-Min;Park, Joung-Soon;Kim, Hyung-Mi;Kang, Soon Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.444-450
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    • 2018
  • The purpose of this study was to determine the effectiveness of nutritional intervention for modifying the dietary behavior of breast cancer patients. The study was conducted at Gangnam Severance Hospital from December 2015 to May 2016. The subjects of this study were 30 female breast cancer patients. To conduct this study, dietary behaviors and weight changes were measured, and frequency of exercise, alcohol drinking, and use of supplements were investigated. The results are summarized as follows: Average age and rate of monthly weight loss were $54.3{\pm}9.3years$ and $1.4{\pm}3.5%$, respectively. After nutritional intervention, dietary behavior modification score increased from $2.00{\pm}0.45points$ to $2.76{\pm}0.18points$ out of 3 (p<0.001). After intervention, the proportion of alcohol drinkers among patients decreased from 20% to 0%, and that of patients who exercise frequently increased from 53% to 97%. The percentage of supplement users decreased from 40% to 20%. In consideration of the above results, nutritional intervention and dietary behavior modification for breast cancer patients are very important to prevent recurrence of breast cancer.

Impacts of Professional Autonomy and Role Conflict Clinical Decision-Making Ability of Nurses on Comprehensive Nursing Care Service Wards (간호간병통합병동 간호사의 전문직 자율성, 역할갈등이 임상적 의사결정능력에 미치는 영향)

  • Son, Yu-Lim;Kim, Eun-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.463-473
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    • 2018
  • This investigation was a descriptive study that examined the relationship among factors including professional autonomy, role conflict, and clinical decision-making ability of nurses on comprehensive nursing service wards. To accomplish this, a survey of 234 nurses working at D city and G city who were selected based on convenience sampling was conducted. Data were collected using a self-reported questionnaire completed by 234 nurses at four clinical hospitals from October 12, 2017 to November 30, 2017. The collected data were evaluated by t-tests, ANOVA, Pearson's correlation and stepwise multiple regression analysis. The mean clinical decision-making ability score was $3.38{\pm}0.78$, which corresponded to an intermediate level of clinical decision-making ability. Clinical decision making ability was positively correlated with professional autonomy, but role conflict showed a negative correlation. The factors having the greatest impact on clinical decision-making ability were found to be, in order, length of work, education level, professional autonomy and role conflict, which together accounted for 38.7% of the total impact. To improve clinical decision making ability, it is important to improve autonomy and role conflict. Additionally, to improve clinical decision-making ability, it is necessary to improve clinical decision-making ability to determine nurses tasks through professional autonomy and role conflict. Overall, the results of this study can be utilized as baseline data when developing a program to enhance nurses' clinical decision making ability. Moreover, it is suggested that an interventional study analyzing validity and effectiveness of developed education programs be conducted.

Presence and characteristics of dysphagia in stroke patients without awareness of dysphagia (연하장애에 대한 병식이 없는 뇌졸중 환자들의 연하장애 유무와 양상)

  • Shin, Joong-Il;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.1
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    • pp.294-300
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    • 2011
  • This study was performed to examine the presence of dysphagia and analyze characteristics of the symptoms in cerebrovascular accident(CVA) patients without awareness of dysphagia. A questionnaire for this study was given to CVA patients who had visited P rehabilitation medical center in Busan. Eleven patients (4 males and 7 females) who answered no awareness of dysphasia were given to VFSS, functional dysphasia scale, and NCSE. Descriptive statistics and Pearson correlation analysis were performed by SPSS 12.0. All of subjects without awareness of dysphasia showed characteristics of dysphasia symptoms. Prominent dysfunctions were problems in oral phase and delay of swallowing reflex in pharyngeal phase. For the aspect of cognition, they showed lower score in construction, memory, and similarity than other NCSE items. There was highly significant correlation between orientation, judgment and delay of swallowing reflex. Verbal comprehension and residual materials in oral cavity showed closed correlation. CVA patients without awareness had dysphagia with high probability. The early evaluation of dysphagia should be performed in CVA patients in order to prevent complications due to CVA, so it is necessary to increase the effectiveness of rehabilitation therapy.

The Effectiveness of Prolotherapy Postoperative Rotator Cuff Tear (회전근 개 봉합 수술 후 증식 요법의 유용성)

  • Moon, Young Lae;You, Jae Won;An, Ki Yong;Cho, Sung Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.1
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    • pp.21-25
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    • 2010
  • Purpose: To evaluate efficacy of ultrasound guided prolotherapy in patients with persistant symptoms after rotator cuff repair. Materials and Methods: Between January and December of 2008, 90 patients who had persistant pain and shoulder adhesion 4 weeks after rotator cuff repair were treated with ultrasound guided prolotherapy. The mean age was 55.2 years. Visual analogue scale (VAS) and range of motion (ROM) before and after the procedure, complications related to the procedure were analyzed. Results: The average VAS score at 4 weeks follow up decreased to $2.5{\pm}2.304$ from $6.3{\pm}1.25$ before prolotherapy and forward flexion range at 4 weeks follow up increased to $143{\pm}26.63$ from $106{\pm}21.64.$ Four weeks after the ultrasound guided prolotherapy, 74 cases(82%) reported of improved pain and ROM, 13 cases(14%) reported of improvement after 2~5 days of the procedure and 3 cases(4%) had no improved in pain and ROM. No complications were encountered. Conclusion: The authors believe that ultrasound guided prolotherapy in repaired rotator cuff tear patients theoretically increased possibilities of healing and with relieving the pain of the patients results in increased possibility of rehabilitation effect.

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A Study of the Application of Precepter Program with the Reducion of the Time of New Entry Nurse Orientation. (신입간호사 교육 기간 단축에 따른 Preceptor program 적용에 관한 연구)

  • Kim, Hae-Sook;Kim, Lee-Young;Choi, Sun-Sook;Han, Mee-Jung;Kim, Sun-Hee;An, Young-Hee;Kong, Sung-Hwa;Jang, Soo-Ryeon;Kim, Mee-Ae;Kim, Soo-Young
    • The Korean Nurse
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    • v.37 no.4
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    • pp.58-71
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    • 1998
  • The purpose of this study was to contribute the improvement of nursing staff development by implementing of effective and organized orientation program using the measure of effectiveness in the application of preceptor program with the reduction of the time of New entry nurse orientation. The subjects were comprised of 116 new entry nurses(59 new entry nurses were employed at June, 1996 and 57 at May & July, 1997) and 79 preceptors, who were in charge of new entry nurse orientation at 1997. These date were collected from June 18, 1996 to August 29, 1997. The characteristics of questionairs applied in this study were general characteristics(7 questions), knowledge of nursing care(138 questions); attitude toward her profession(40 questions) and the degree of satisfaction for the program(5 questions). The questionnairs were developed by the researchers of Asan Medical Center. The Check-list for basic nursing skill were used for the measurement of nursing skill which was developed by nursing department of AMC. The data were analyzed for the mean, standard deviation, difference of mean, ANOV A & t-test. The results of this study are as follows : 1) The changes in knowledge of nursing care : After three months of training the difference of mean between before and after the orientation was higher than the result of two month period training. However, the result was insignificant(p= .469). 2) Performance in nursing practice : Two month period orientation was more effective than three-month training period, however, the statistical significance can not be reached than 3 month period, which resulted in insignificant difference(p=.150). 3) The change in attitude toward her profession : After three-month of orientation, the difference of mean between before and after the orientation was higher than 2 month period orientation, which resulted in significant difference (p=.000). 4) The degree of satisfaction for the program with the time of new entry nurse orientation : After two-month of orientation, the mean of points was 2.57 where the score is higher than 3 month period with mean of 2.30. It resulted in significant difference(p=.000).

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Early Experiences with Ultra-Fast-Track Extubation after Surgery for Congenital Heart Disease at a Single Center

  • Kim, Kang Min;Kwak, Jae Gun;Shin, Beatrice Chia-Hui;Kim, Eung Re;Lee, Ji-Hyun;Kim, Eun Hee;Kim, Jin Tae;Kim, Woong-Han
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.247-253
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    • 2018
  • Background: Early extubation after cardiovascular surgery has some clinical advantages, including reduced hospitalization costs. Herein, we review the results of ultra-fast-track (UFT) extubation, which refers to extubation performed on the operating table just after the operation, or within 1-2 hours after surgery, in patients with congenital cardiac disease. Methods: We performed UFT extubation in patients (n=72) with a relatively simple congenital cardiac defect or who underwent a simple operation starting in September 2016. To evaluate the feasibility and effectiveness of our recently introduced UFT extubation strategy, we retrospectively reviewed 195 patients who underwent similar operations for similar diseases from September 2015 to September 2017, including the 1-year periods immediately before and after the introduction of the UFT extubation protocol. Propensity scores were used to assess the effects of UFT extubation on length of stay (LOS) in the intensive care unit (ICU), hospital LOS, and medical costs. Results: After propensity-score matching using logistic regression analysis, 47 patients were matched in each group. The mean ICU LOS ($16.3{\pm}28.6$ [UFT] vs. $28.0{\pm}16.8$ [non-UFT] hours, p=0.018) was significantly shorter in the UFT group. The total medical costs ($182.6{\pm}3.5$ [UFT] vs. $187.1{\pm}55.6$ [non-UFT] ${\times}100,000$ Korean won [KRW], p=0.639) and hospital stay expenses ($48.3{\pm}13.6$ [UFT] vs. $54.8{\pm}29.0$ [non-UFT] ${\times}100,000KRW$, p=0.164) did not significantly differ between the groups. Conclusion: UFT extubation decreased the ICU LOS and mechanical ventilation time, but was not associated with postoperative hospital LOS or medical expenses in patients with simple congenital cardiac disease.

The Effects of Radix aconiti on the Contraction of Rat's Spinal Cord Injury (부자(附子)의 경구투여(經口投與)가 RAT의 척수손상(脊髓損傷)에 미치는 영향(影響) 및 비교(比較))

  • Lee Geon-Mok;Kim Kyung-Sik;Lee Kang-Chang
    • Journal of Acupuncture Research
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    • v.15 no.2
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    • pp.105-116
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    • 1998
  • Purpose In this study, We observed the recovery process in the ability to move in the hind limbs of the rats whose spinal cord injuries were treated by Radix acouniti(RA). The purpose of this study is to see the effects of Radix acouniti(RA) water extract on the contraction of rat's spinal cord injury. Procedure First, the rats were subjected to hemisectional spinal cord injuries by a scalpel blade. Those rats, then, were divided into three groups: Sham operated rats group and the experimental group, which received the Radix acouniti(RA) water extract, and the control group, which had no treatment. Their recovery in the ability to walk was observed by the Open Field Test (OFT) for 14 days after the injuries. Method The OFT was applied at four points: the hip, knee, ankle joint, and the tail. Each joint was given a movement rating of from 0 to 3, depending on the amount of movement. A movement rating of 0 designates no movement, a 1 designates slight movement, a 2 designates increased movement, and a 3 designates active movement. Slight movement is defined as a joint displaying less than or equal to 30% of that joint range, increased movement is displaying less than or equal to 60% of that joint's range, and active movement is greater than or equal to 90% of that joint's range. Tail movement is also graded on a scale of 0 to 3. A rating of 0 indicates that the tail is down 100% of the time, one of 1 indicates that the tail is down more than 10%, one of 2 shows that the tail is down less than 50% but more than 10% of the time, and one of 3 shows that the tail is down less than 10% of the time. All four ratings were added together and then averaged to arrive at a single score. Results The sham group which did not go through spinal cord injuries showed near normal results on all 3 joints and tail from right after the operation, which one would expect. The RA oral application group showed more effective recovery of movememt function than the control group around 4 days after the spinal cord injuries. However, after 14 days, both groups displayed almost the same degree of movement recovery. The results of this study are summarized as follows: 1. After 14days the spinal cord injuries, movement was recovered in sham operated group, control group, and experimented group in the hip, the knee, the tail and then the ankle of rats, in that order. 2. Around 7 days after the spinal cord injuries, the experimental group proved the effectiveness of the therapy in terms of movement recovery. 3. The level of ALT, ALP, AST in RA treated group was slightly increased. 4. The level of BUN and creatinine in RA treated group was slightly increased. The above results indicate that RA therapy at an early stage can bring about better movement recovery in patients with spinal cord injuries from traffic accidents or industrial disasters. But there is apparent side effect of RA on clinical, therefore the study on this should be continued.

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Exploring the Effect of First Year Science-Focused School Program on High School Students' Science Core Competency and Science Learning Motivation Using Group-Based Trajectory Modeling (집단중심 추세모형을 이용한 과학중점학교 1학년 프로그램이 고등학생들의 과학과 핵심역량과 과학학습동기에 미치는 영향 탐색)

  • Ha, Minsu;Lee, Kiyoung;Choi, Eunhwan;Kim, Ilchan;Yu, Jihye;Won, Bokyeon
    • Journal of The Korean Association For Science Education
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    • v.39 no.6
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    • pp.799-807
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    • 2019
  • The study was conducted to identify if the first-year program of science-focused school improved students' scientific core competency and science learning motivation. The first-year program of the science-focused school consisted of basic education in scientific inquiry, investigation, advanced experiment, and basic education in small research. There were a total of 262 participants in the program, and 169 students took three survey tests. Through the analysis of a group-based trajectory modeling, students were differentiated based on similarity of score changes. This study showed that the first-year program of the science-focused school significantly improved students' scientific core competency and science learning motivation. A group-based trajectory modeling found that about 40~60% of students saw the effects of the program. The students who chose the humanity track showed effects, while some students who chose the science-focused track did not show effects. A group-based trajectory modeling showed the methodological effects of identifying the change process of individual students. This study identified the positive effects of science-focused school policy statistically and is a meaningful example for analyzing the effectiveness of science-focused school programs.

A Study on the Effects to the Change of Social Capital from Participation in Elderly Employment Programs (노인일자리사업 참여가 사회적 자본 변화에 미치는 영향 연구)

  • Jang, Yu-Mi
    • Korean Journal of Social Welfare
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    • v.63 no.2
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    • pp.261-289
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    • 2011
  • This study has been conducted to assess the effectiveness of the elderly employment programs through change of social capital by understanding how the elderly employment programs in the elderly employment policy of Korea has effected the change of social capital. The method of research was to design the research in the nonequivalent control groups design from the quasi-experimental design for the 500 elderly who participated and 250 who have not participated in the elderly employment programs through distributing structured questionnaire by classifying into before and after the project during 7 months from March 1, 2010 to September 30, 2010 to those above 65 living in Changwon. The social capital which is an important variable among the measurement index of the study has been set as trust, network, and social participation fields based on the aforementioned theoretic background. When the fact that there is a partial difference in the change of social capital of the elderly according to the participation in the elderly employment programs and the timing (before/after) is looked at in terms of change of social capital after controlling the general character of the elderly and the pre-score, there are differences per timing according to the participation in the elderly employment programs. Thus, the participation in the elderly employment programs had a significant difference in the change of social capital. It is possible to see that the trust, network, and social participation of the social capital all increased in the elderly with difficulties in their living status. It can be seen that the participation in the elderly employment programs brings forth increase of social capital for the elderly with difficulties in their living status. Among the social capitals, the elderly who participated in the elderly employment programs showed that the trust increased the most. Consequently, in order to increase the comprehensive social capital, the programs must be carried out focused on the vulnerable class in parallel to the elderly employment programs for the general elderly of other classes.

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Effects of Guava Leaf Powder on the Quality of Seasoned Pork (구아바 잎 분말 첨가가 양념돈육의 품질에 미치는 영향)

  • Park, Young-Mi;Han, Byeong-Lyeol;Kim, Young-Joong;Yoon, Hye Hyun
    • Culinary science and hospitality research
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    • v.19 no.4
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    • pp.1-12
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    • 2013
  • The purpose of this study was to find the effects of guava leaf powder as a natural tenderizing ingredient for low-fat pork seasoned with meat sauce, and to promote a consumer demand and practical use of low-fat pork. Moisture content, pH, color, texture, and sensory tests (quantitative descriptive sensory evaluations and acceptance) were conducted to the control and 5 samples of pork seasoned with 0.75, 1, 1.5, 2, 3% guava leaf powder) to determine the highest effectiveness on tenderizing pork. Moisture content and pH values were the highest in the samples with 1% and 1.5% of guava leaf powder added. L-value of cooked meat decreased, while a-value increased. In the texture test, most of the experiments showed the best values in the sample with 1.5% added. Based on quantitative descriptive sensory evaluations, the unpleasant smell of meat tended to decrease with more guava leaf powder, and the scores of the others were highest in the sample with 1.5% added. This sample also got the highest score in the acceptance test. These results can be used as primary data for research on the tenderizing effect of a functional ingredient and solutions to unbalanced consumption of pork.

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